13D2291845 CLIA NUMBER - VISION ONE

Laboratory Demographics

  • CLIA Code: 13D2291845
  • Facility Name: VISION ONE
  • Facility Address: 610 S AMERICINA BLVD
    BOISE, ID
    ZIP 83702
  • Facility Phone: 208 344-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY BODILY
  • NPI Number: 1821168907
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 13D2291845
LAB Type Physician Office
Facility Name VISION ONE
Street 610 S AMERICINA BLVD
City BOISE
State ID
ZIP 83702
Phone 208 344-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type Physician Office
Lab Director GREGORY BODILY

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This page was last updated on: 9/29/2025